Terry Aultman LPC, P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

61145 Issued in TX

Legal business name

TERRY AULTMAN LPC, P.C.

Practice address

6232 N Highway 146
Suite 104
Baytown, TX 77523-9081

Phone

(281) 918-0152

Fax

(281) 918-0151

NPI assigned

May 24, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terry Thomas Aultman, LPCNPI 1013121805

Title

President / Therapist

Phone

(281) 918-0152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry T Aultman, MA LPC

  • Professional Counselor
  • Baytown, TX
  • NPI 1013121805
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1104186162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 N HIGHWAY 146",
            "address_2": "SUITE 104",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775239081",
            "telephone_number": "281-918-0152",
            "fax_number": "281-918-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 N HIGHWAY 146",
            "address_2": "SUITE 104",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775239081",
            "telephone_number": "281-918-0152",
            "fax_number": "281-918-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY AULTMAN LPC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "AULTMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT / THERAPIST",
        "authorized_official_telephone_number": "281-918-0152",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Baytown, TX
• Providers in Baytown, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.